Active NPI
Joshua Kriegstein, DMD
- Dentist
- San Francisco, CA
National Provider Identifier
1962989152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102586
- Practice address
- 4441 Balboa St Apt 3
San Francisco, CA 94121-2444 - Phone
- (805) 630-6164
- NPI assigned
- Jul 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 102586 | CA | Primary |
Addresses
Primary practice location
4441 Balboa St Apt 3
San Francisco, CA 94121-2444
Mailing address
4441 Balboa St Apt 3
San Francisco, CA 94121-2444
Phone (805) 630-6164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1962989152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 BALBOA ST APT 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212444",
"telephone_number": "805-630-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 BALBOA ST APT 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212444",
"telephone_number": "805-630-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEGSTEIN",
"first_name": "JOSHUA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.